To enroll in daycare, you will need to complete four forms:

• Application form
• Health and Temperament Agreement
• Veterinary Form (completed by your vet)
• Emergency Medical Care Release

The Application form can be completed online, or printed. The Health and Temperament Agreement, the Emergency Medical Care Release and the Veterinary form require signatures, so must be printed and filled out completely.

Bring the completed Health and Temperament Agreement, Emergency Medical Care Release and Veterinary Form to Doggy Daycare and Spa at 5325 W. Mt. Hope Hwy, Lansing, MI 48917 when you come in for your dog’s interview.

PLEASE NOTE: Dogs who arrive to their interview without the Veterinary Form completed by their Veterinarian will not be allowed to interview. Please be sure to have your Veterinarian complete the form prior to your dog's scheduled interview.

Application Form

Date:
 

Owner Information

Name:
Address:
City:
State: Select a State Alaska Alabama Arkansas Arizona California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missourri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Zip:
Home phone: (including area code)
Work phone: (including area code)
E-mail address:
Cell Phone/Pager: (including area code)
Employer:

Emergency Contact
(Other than self)

Name: Phone: (including area code)

Pet Information

Pet Name:
Breed:

Sex:

Female

Male

Age: Weight: Birthday:

Veterinarian Information

Name:
Address:
Phone: (including area code)

Pet Personality Profile: General Information

How did you hear about Doggy Daycare & Spa®?

How long have you owned your dog?

Where did you get your dog?

If adopted, do you have knowledge of your dog's past history?

Yes

No

If yes, describe

Number of people in your household?
Adult males
Adult females
Male children/ages
Female children/ages

Is your dog spayed/neutered?

Yes

No

If yes, what age was this done? List other animals in your household:

Species	Breed	Altered?	Age	Sex

Describe how your dog gets along with other animals in your household.
How would you and your pet like to benefit from coming to daycare?

Pet Personality Profile: Health and Grooming

Does your dog have a problem with fleas?	Yes	No

Does your dog have hip dysplasia?

Yes

No

If yes, what restrictions need to be placed on your dog's activities or movements?
Has your dog even been hospitalized or had any serious health issues?

Does your dog have allergies?

Yes

No

Does your dog have any sensitive areas on his/her body?

Pet Personality Profile: Behavior

Do visitors bring their dog(s) to your home?	Yes	No

If yes, how does your dog react?
How does your dog react to a stranger coming into your home or yard?
Are there any kinds of people your dog automatically fears or dislikes?
Are there any kinds of dogs your dog automatically fears or dislikes?
What does your dog do when you are no at home?
Where does your dog sleep?
How does your dog react to other dogs approaching it when you are out on a walk?
A. On a lead:
B. Off lead:

Has your dog ever growled at someone?

Yes

No

What were the circumstances?

Has your dog ever bitten someone?

Yes

No

What were the circumstances?

Has your dog ever climbed or jumped over a fence?

Yes

No

How high was it?
Does your dog have any problems in the following areas? If yes, describe:
Housetraining
Barking
Digging
Ignoring commands
Jumping

Is your dog frightened or nervous by anything?
Has your dog ever growled or snapped at anyone taking food or toys away?
Has your dog ever shared his/her food or toys with other animals?

Does your dog play with other dogs?

Yes

No

Please describe.

Does your dog prefer to play with large or small dogs?

Large

Small

Is your dog crate-trained?

What brand of food does your dog eat, and how much?

Has your dog ever had any formal obedience traning?

Yes

No

If yes, when and where?
What commands does your dog know?

What is your dog's bathroom command?

Other comments or information about your dog that you feel might be helpful: